SHAWN SCARBERRY MILLER M.D.
NPI 1083670566
Family Medicine in Tahlequah, OK

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
78.75/100
CMS Quality Rating
19600 E ROSS ST, TAHLEQUAH, OK 74464(539) 234-4100(539) 234-4101 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2020, Aug 29, 2019 (2 updates tracked since 2019).

About Shawn Scarberry Miller M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWN SCARBERRY MILLER M.D. (NPI 1083670566) is an individual family medicine provider in Tahlequah, Oklahoma, licensed in Oklahoma (35863) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Northeastern Health System, and is a graduate of University Of Oklahoma College Of Medicine (1996).

NPPES Registry Identity

NPI1083670566
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHAWN SCARBERRY MILLERCredential: M.D.
Location Address19600 E ROSS STTahlequah, OK 74464-0545
Mailing Address19600 E Ross StTahlequah, OK 74464-0545 · (539) 234-4100 · Fax (539) 234-4101
Fax(539) 234-4101
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1996
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 15, 20202 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
NPI 1083670566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in OK · 35863 Licensed in AR · E1452
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19600 E ROSS ST, Tahlequah, OK 74464

Other Identifiers 2

Other5K620AR · Arbcbs
Medicaid132969001AR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shawn Scarberry Miller M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668384298
PECOS Enrollment IDI20200624000044
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
420 services181 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
177 services98 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services40 patients
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179
This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.
25 services19 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
18 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Cherokee Nation W W Hastings Indian Hospital

Acute Care Hospitals · Tahlequah, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370171
Location100 S Bliss AvenueTahlequah, OK 74464 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.59
Promoting Interoperability98
Improvement Activities40
Cost65.11

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers11 claims11 services$17.73 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims44 services$2.56 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$55.72 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$214.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Student in an Organized Health Care Education/Training Program
19600 E ROSS ST
TAHLEQUAH, OK 74464
Podiatrist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Occupational Therapy Assistant
19600 E ROSS ST
TAHLEQUAH, OK 74464
Dentist (General Practice)
19600 E ROSS ST
TAHLEQUAH, OK 74464
Nurse Practitioner
19600 E ROSS ST
TAHLEQUAH, OK 74464
Pharmacist
19600 E ROSS ST
TAHLEQUAH, OK 74464
Peer Specialist
19600 E ROSS ST
TAHLEQUAH, OK 74464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawn Miller's NPI number?

The NPI number for Shawn Miller is 1083670566. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Shawn Miller located?

Shawn Miller practices at 19600 E Ross St, Tahlequah, OK 74464. The listed phone number is (539) 234-4100.

What is Shawn Miller's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shawn Miller enrolled in Medicare?

Yes. Shawn Miller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Shawn Miller affiliated with any hospitals?

According to CMS data, Shawn Miller is affiliated with Northeastern Health System and Cherokee Nation W W Hastings Indian Hospital.

When was this NPI record last updated?

The NPPES record for Shawn Miller was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.